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Vasoactive intestinal polypeptide (VIP) expression and inhibitory circuitry Masters writing assignment Supervised by Corette Wierenga Brenna Fearey 3895300 Neuroscience & Cognition masters Abstract The brain is composed of millions of neurons, which connect and influence each other. This neuronal cooperation leads to coordinated behaviors and cognition. These connections exist within circuits that are made up of both excitatory and inhibitory synaptic neurons. The excitatory neurons’ primary neurotransmitter is glutamate and interneurons are the inhibitory neurons whose neurotransmitter is γaminobutyric acid (GABA). The term interneuron refers to the fact that most of these neurons have very local axonal connections rather than the longer projecting axons that are common to principal cells. They make up approximately 20% of all neurons in the brain and exist across the brain but most research is focused on the cortex and hippocampus. Excitation and inhibition act in close partnership to direct and shape neural activity. Without inhibition, excitation can have a “run-away” or “ramp-up” effect. These states of over-excitation are thought to be symptomatic of epilepsy and schizophrenia. There are a few different models thought to represent the pattern of excitation and inhibition in the brain. They included: feedforward, feed-back and disinhibition. The disinhibitory model is somewhat recently and has been proven across cortical modalities. The vasoactive intestinal polypeptide (VIP) expressing interneurons act as disinhibitors of excitatory cells by inhibiting other interneurons. This allows for attenuating of the signal and more gain control. The report will elaborate on the VIP protein itself and then within the context of inhibitory circuitry. Interneurons: a diverse and divisive group The brain is composed of millions of neurons, which connect and influence each other in such a way that meaningful information is extracted. This neuronal cooperation leads to coordinated behaviors and cognition. These connections exist within circuits that are made up of both excitatory and inhibitory synaptic action. Principal cells (i.e. pyramidal cells) are the excitatory neurons whose primary neurotransmitter is glutamate and interneurons are the inhibitory neurons whose neurotransmitter is γ-aminobutyric acid (GABA)(Freund & Buzsáki, 1996). The term interneuron refers to the fact that most of these neurons have very local axonal connections rather than the longer projecting axons that are common to principal cells. Interneurons make up approximately 20% of all neurons in the brain and exist across the brain but most research is focused on the cortex and hippocampus due to their distinct laminar organization(Kepecs & Fishell, 2014; McBain & Fisahn, 2001). Excitation and inhibition act in close partnership to direct and shape neural activity. Without inhibition, excitation can have a “run-away” or “ramp-up” effect. These states of over-excitation are thought to be symptomatic of epilepsy and schizophrenia amongst other disorders (Zaitsev, 2013). Aims of this review The goal of this review is to examine the literature regarding an interneuron subtype known as the vasoactive intestinal peptide-expressing interneuron (VIP). After a general description of the peptide and it’s known functions, the rest of the review will focus on it’s role in inhibition, specifically as an interneuron expressing the peptide. Next, there will be a discussion on the possibility of a conserved disinhibitory circuit in the brain and whether it is important to examine how these circuits are mediated by neuromodulators. Finally, potential future studies based on past research will be discussed. Inhibition models The fundamental balance between excitation and inhibition is controlled by interneurons inhibiting excitatory neurons and excitatory neurons exciting interneurons but there are two traditional models that elaborate on the specific connectivity. The first model, feedback inhibition, is based on the extensive innervation of interneurons onto principal cells; they not only respond in proportion to their inputs but also influence the incoming input via inhibition(Isaacson & Scanziani, 2011). This model typically occurs when the excitatory input is local. Feed-forward inhibition occurs when the excitatory input originates from long-range axons that innervate both excitatory and inhibitory cells at the destination. Inhibition is guaranteed in this circuit as the long-range afferents synapse more strongly onto interneurons than pyramidal neurons. This guarantees some level of inhibition regardless of the strength of the input (Isaacson & Scanziani, 2011; Pfeffer, Xue, He, Huang, & Scanziani, 2013) (See figure 1). Recently a third inhibition model has made headlines. In this disinhibition model, a third player (the VIP cells) acts to inhibit other interneurons and thus releases the “brakes” on excitatory neurons (Lewis, 2013; Pfeffer, 2014; Wilson & Glickfeld, 2014) (figure 1). This model assumes that both interneurons and principal cells are in a constant balance of low inhibition and excitation that shifts when long-range excitation onto disinhibitory interneurons occurs. The challenge in examining these different models is a body of literature that is difficult to navigate due to lack of agreement in defining interneuron classes and even what an interneuron is. Feedback Inhibition Feed-forward Inhibition Disinhibition Figure 1 Schematic representations of the three inhibition models: Feedback, feed-forward and disinhibition. Excitatory input originates from long-range axons in feed-forward and disinhibitory circuits. Red circles are interneurons and blue triangles are pyramidal cells. Closed circles represent excitatory synapses and open circles represent inhibitory synapses. Interneuron classes Since the discovery of interneurons, it has been repeatedly shown that there is no singular type but rather a myriad of subtypes, which have proven extremely difficult to classify (Ascoli & Alonso-Nanclares, 2008; DeFelipe et al., 2013). The challenge in classifying these interneurons is due to their numerous morphologies, developmental origins, gene expression, connectivity patterns and function. In addition to the multitude of parameters, they commonly overlap between categories. For example, a cell may have a basket-like morphology, express parvalbumin (PV) and have axo-axonic connectivity. Another cell might share the same morphology and connectivity but express a different genetic marker, like somatostatin (SST). Prior to the availability of techniques to label a certain cell type, experiments had to conduct electrophysiological recordings based on morphology or spiking features and later identify the cell type by immunochemistry(Lanciego & Wouterlood, 2011). The nature of this work is tedious with a slow output. With the availability of technology to label certain subtypes of interneurons based on a certain gene, these problems have begun to diminish (Roux, Stark, Sjulson, & Buzsáki, 2014). A second issue that arises due to the overlap in categorization is a disagreement in the literature on which of these categories is most useful or valuable to their definition. In 2008 and again in 2013, a group of interneuron experts gathered in an attempt to define interneurons in order to encourage a general nomenclature across the literature (Ascoli & Alonso-Nanclares, 2008; DeFelipe et al., 2013). Unfortunately, resistance from other groups desiring other definitions thwarts the efforts of these nomenclature publications. One group suggests that all interneurons should be broken into only 3 categories based on the gene expression of parvalbumin (PV), somatostatin (SST) and the serotonin receptor 5HT3a (5HT3aR). PV cells make up 40% of all interneurons while SST and 5HT3aR each make up 30% (Rudy, Fishell, Lee, & Hjerling-Leffler, 2011). While this is a nice breakdown both SST and 5HT3aR neurons coexpress other interneuron markers that can be broken up based on different functions (Gonchar, Wang, & Burkhalter, 2007). Another group defines cardinal classes of interneurons based on developmental origins and early genetic cascades that direct their migration and location in the brain (Kepecs & Fishell, 2014). In this case, they believe that gene expression markers may reflect regional circuit influenced maturation rather than interneuron class. Finally, efforts to categorize interneurons may be limited to research in one brain structure rather than across the brain. A parallel issue is the definition of interneurons is often limited to those cells who express GABA and have local axonal connections. Recently, more subtypes are being identified who have long-range axonal connections and also express GABA and seem to act in inhibition (Caputi, Melzer, Michael, & Monyer, 2013). Over the last 50 years, the use of classification was with the aim of extracting useful information about an interneurons function and purpose. Now, with cell specific Cre-driver lines and optogenetics, gene expression can be a means to isolate a group of cells and examine their function within a circuit (Roux et al., 2014). In a way, the interneuron literature is slowly shifting from a bottom-up perspective, i.e. examining features to address function, to that of a top-down, i.e. examining function to determine the valuable features for classification. The future of research on interneurons is promising due to this shift in perspectives and the availability of these technologies. The identification of the disinhibitory circuitry controlled by vasoactive intestinal peptide (VIP) expressing neurons exemplifies the potential of this research perspective. Vasoactive intestinal polypeptide (VIP) The vasoactive intestinal polypeptide (VIP) is a 28-amino acid long peptide. As the name suggests, it was originally discovered in the gut but has since been found in the nervous system and is considered a neurotransmitter (Said, 1984). VIP and its receptors, VPAC1 & 2, are expressed in multiple cell types, including interneurons. Astrocytes and intravascular tissue only have receptors for VIP (Hajós, Zilles, Schleicher, & Kálmán, 1988; Larsson et al., 1976; Martin et al., 1992). The expression pattern shows concentrations primarily in the cortex and hippocampus but also in thalamic nuclei. VIP neuron morphology is generally characterized with descending axons with a bipolar, bitufted or multipolar dendritic distribution with a subset that show a basket-like morphology around pyramidal cell somas (Kawaguchi & Kubota, 1996). In the cortex most of its dendritic targets occur in layer I, IV and VI while the cell body is found in layers II/III (Hajós et al., 1988; P. J. Magistretti, 1990). They receive predominately asymmetric synapses, i.e. excitatory, and its projections are predominately symmetric, i.e. inhibitory synapses, onto both interneurons and some pyramidal neurons (Csillag, Hajós, Zilles, Schleicher, & Schröder, 1993; Kawaguchi & Kubota, 1996). Following stimulation of VIP expressing interneurons, VIP occupies the g-protein coupled adenyl-cyclase receptor and promotes cAMP formation while concurrently promoting glycogenolysis, a process involved in breakdown of glycogen for cell metabolism (P. Magistretti, 1998). Finally, VIP has also been shown to have a direct influence on vasodilation in the brain with close interactions with pial vessels (Edvinsson et al., 1980). It has been suggested that the VIP expressing interneuron with its numerous local connections to pyramidal cells, astrocytes and vasculature and its regulation of cAMP is an ideal candidate for metabolic homeostasis regulation (P. Magistretti, 1998). VIP secretion has also been implicated in regulating circadian rhythms. As previously noted, there is a high concentration of VIP in the thalamic structures. In the suprachiasmatic nucleus (SCN) VIP modulates GABA-mediated currents. This modulation is suspected to be involved in synchronizing circadian rhythms as VIP knockout mice show aberrant circadian rhythms (Aton, Colwell, Harmar, Waschek, & Herzog, 2005; Itri, Michel, Waschek, & Colwell, 2004; Vosko, Schroeder, Loh, & Colwell, 2007). Further, at the cellular level, VIP appears to be responsible for maintaining the clock-cell synchronicity that is crucial to circadian rhythm. There is also evidence that VIP secretion modulates GABA-mediated synaptic transmission in the SCN (Itri & Colwell, 2003; Itri et al., 2004; Vosko et al., 2007). Some suggest that there are two types of VIP release at hand: the first involves synaptic release and modulation by VIP neurons onto other neurons and the second involves extrasynaptic release onto other cell types like astrocytes and vascular tissues (P. J. Magistretti, 1990). In addition to their involvement in metabolism and circadian rhythms, VIP neurons are involved in the regulation of neuronal circuitry. It has been shown that exogenous VIP exposure is coupled with an increase in excitatory action (Haas & Gähwiler, 1992; Sessler, Grady, Waterhouse, & Moises, 1991). It also has been shown to upregulate the expression of particular neurotrophic factors, BDNF and cfos. Interestingly, VIP does not directly influence this upregulation but rather acts via NMDA receptors (Pellegri, Magistretti, & Martin, 1998). It was thought that the concurrent activation of a glutamate afferent onto both the VIP neuron and another excitatory neuron results in this increase in BDNF and c-fos expression at the excitatory neuron due to both activation of NMDARs and the release of VIP (see figure 2). Additionally, pyramidal cells do excite VIP interneurons in the neocortex (Porter et al., 1998). A difficulty in this explanation is that most synapses of VIP neurons are predominately onto other interneurons rather than onto pyramidal cells (Hájos, Acsády, & Freund, 1996). The full circuit would take until the 2010’s to truly begin to parse. Figure 2: Schematic from Magistretti et al. (1998) demonstrating early hypotheses regarding the regulation of VIP neurons onto excitatory neurons. This model will later be adjusted to include a secondary interneuron between these two cells. Up until this point, VIP has been explained in the context of its function as a peptide. The metabolism, circadian rhythms and vasodilation research typically looks to VIP as a neuropeptide rather than in the context of inhibition circuitry, i.e. GABA expression. The nature of available technologies when VIP was first characterized (1970s-1990s) may have partially caused this divergence in focus of VIP (Köbbert et al., 2000; Lanciego & Wouterlood, 2011). Due to the variability in interneuron type and potential function, it was not an easy task to combine its role during inhibition with other factors like circadian rhythm. With the emergence of technologies that allow for the inclusion of more variables with stronger controls, these discrepancies will hopefully be resolved. From this point, the discussion will be on VIP used as a marker to classify a subset of interneurons. VIP in the cortex VIP-expressing interneurons make up a small percentage (10-15%) of all interneurons in the neocortex and interneurons make up approximately 20% of all cortical neurons in the brain. Thus VIP interneurons account for approximately 2% of all cortical neurons (Meinecke & Peters, 1987, Gonchar et al., 2007; Pfeffer et al., 2013; Pfeffer, 2014). Due to their typical bipolar and radially distributed dendritic morphology with descending axons, it has been hypothesized that these neurons might be particularly suited for integrating information across laminae (Bayraktar et al., 1997). It has been noted many times in the past that interneurons synapse onto themselves and onto other interneurons in addition to pyramidal cells (Csillag et al., 1993; Hajós et al., 1988; Hájos et al., 1996) but it has previously remained unclear and difficult to ascertain how this impacts the function of a cortical circuit. Three recent studies, utilizing Cre-driver lines and optogenetic techniques, identified a recurring pattern of circuitry involving the VIP interneurons acting as disinhibitors of pyramidal cells in the auditory, somatosensory and visual cortices. As VIP interneurons synapse with SST interneurons and in part with PV interneurons, these groups sought to understand the function of interneuron-interneuron synapsing (Pfeffer et al., 2013). Light-activated excitation of VIP interneurons (via channelrhodopsin 2) resulted in decreased firing of interneurons (both SST and PV) and simultaneous increased firing of pyramidal neurons in the auditory cortex (AC) and medial prefrontal cortex (mPFC) (Pi et al., 2013). The authors then demonstrated that VIP neurons specifically disinhibit the pyramidal cells responding to tones in the AC. In a behavioral go-no-go task, the VIP neurons are strongly activated by reward and punishment, i.e. reinforcement signals. Another study looked in the somatosensory cortex (barrel cortex) and found that whisking behavior recruited VIP activity, which preferentially inhibits SST cells (Lee, Kruglikov, Huang, Fishell, & Rudy, 2013). This recruitment is modulated by the excitatory fibers from the primary vibrissal motor cortex (vMC) onto VIP neurons. In the visual cortex, the authors found that the VIP interneurons in layers 2/3 in the visual cortex responded to locomotion (running) and if locomotion is suppressed so are SST cells (Fu et al., 2014). This demonstrated another VIP disinhibitory circuit in which the suppression of SST cells by VIP cells results in an increased V1 pyramidal synaptic response. This explains early studies linking glutamate release with VIP release and electrophysiological studies that saw when VIP synaptic responses potentiate; SST cell synaptic responses are depressed (Kawaguchi & Kubota, 1996; Pellegri et al., 1998). In an effort to understand how locomotion activates VIP neurons, Fu et al. (2014) found strong inputs from the cholinergic basal forebrain afferents. This is one example of a driving input to VIP but it is necessary to explore the potential inputs in other circuitry as well. It likely that other neuromodulatory inputs act to further attenuate the gain control that the disinhibition circuit provides. VIP interneurons frequently co-express other chemical markers, making them particularly interesting but equally tricky to study. In fact, one study showed that VIP does not occur in an interneuron without the presence of at least one other common interneuron markers (Gonchar et al., 2007). This comprehensive coexpression profile highlights the most common chemical markers: calretinin (CR), somatostatin (SST), cholecystokinin (CCK), choline acetyltransferase (ChaT) (see figure ##). A subset of VIP neurons might be integral in cholinergic action; approximately 50-80% colocalize with ChaT, an enzyme involved in synthesis of acetylcholine (ACh) (Bayraktar et al., 1997; Ouellet & de Villers-Sidani, 2014). The difference between Gonchar’s (2007) findings and that from Bayraktar (1997) and Ouellet (2014) is surprising but it may be a consequence of staining techniques, brain area (visual vs. auditory cortex) and species differences (rat vs. mouse). Future research will require better investigation of this coexpression pattern as ACh might modulate VIP action. Interneuron Total number marker(s) of cells/mm3 GABA 51,785 100% VIP total 12,629 24% CR+VIP 2,952 23% CR+SST+VIP 3,210 25% CR+VIP+CCK 101 0.7% SST+VIP 4,350 34% SST+VIP+CCK 207 1.6% VIP only 0 0% VIP+ChAT 1,501 2.9% CCK+VIP 207 1.6% Percent of cells Table 1 Data adapted from Gonchar et al (2007). Totals represent the mean number of cells estimated by optical dissection. Percentages are calculated determined from the total number of all VIP cells counted expect for the total percentage of VIP cells which is calculated based on total GABA-positive cells counted. A number of studies have shown a link between VIP interneurons and ACh suggesting that ACh might act as a neuromodulator on the circuitry that VIP is involved in. When the focus on VIP was primarily metabolic and vaso-related, it was thought that ACh and VIP are linked due to their roles in regulating cortical blood flow (Cauli & Audinat, 1997; P. J. Magistretti, 1990). More recently it has been shown that basal forebrain stimulation, and thus ACh release, can depolarize VIP interneurons, more specifically those expressing the 5HT3aR, while having little effect on pyramidal cells (Alitto & Dan, 2013; Poorthuis, Enke, & Letzkus, 2014). Additionally, the VIP disinhibitory circuit in the visual cortex receives afferents from the basal forebrain that relay information about locomotion and these VIP neurons are exclusively coexpressing the 5HT3aRs as well (Fu et al., 2014). The basal forebrain cholinergic afferents project are thought to play a role in attention and enhanced sensory processing but how this system operates remains relatively unclear in the literature (Poorthuis et al., 2014). The VIP circuit offers an opportunity to more closely examine cholinergic serotonergic function. VIP in the hippocampus While most research on interneurons has focused on the cerebral cortex, there are other structures in the brain that are populated by interneurons. For the purpose of brevity and clarity, this review will only explore the hippocampus, in addition to the cortex, while touching on a few other related structures. The hippocampus is one of the most studied structures in the brain due to its ideal laminar structure and cellular organization allowing for convenient electrophysiological experimentation (Andersen, Morris, Amaral, Bliss, & O’Keefe, 2006). It has also been implicated in learning and memory processes and is a structure potentially vulnerable to dysfunction and disease. Interneurons in the hippocampus suffer the same categorization difficulties as those in the cortex although it seems that overall they have similar expression profiles and distribution as in the cortex (DeFelipe et al., 2013; Freund & Buzsáki, 1996). Synaptic plasticity is the strengthening and weakening at synapses in response to changes in activity (Ho, Lee, & Martin, 2011; Vogels, Sprekeler, Zenke, Clopath, & Gerstner, 2011). The hippocampus has been the site of the majority of work in plasticity (Andersen et al., 2006). As such, many studies examine VIP’s role less in the context of inhibition and circuitry and more in the context of synaptic plasticity as a neuromodulator; a distinction that may not be as separate as currently presumed (Yang et al., 2009; Yang, Lei, Jackson, & Macdonald, 2010). As in the cortex, it is evident that there are numerous types of interneurons in the hippocampus and that their coordination and functions are critical to the shaping of input and output in the hippocampus and they may have different regulatory roles. In the hippocampus, VIP interneurons are referred to as interneuron-specific interneurons (IS). These interneurons show preferential innervation onto other interneurons and express calretinin (CR) and/or VIP. They also show three different morphologies (Acsády, Arabadzisz, & Freund, 1996). CR-expressing VIP cells have either a dense axonal network at the stratum oriens or they project to the stratum radiatum with dendritic material spanning all layers. Another subset of VIP cells forms a basket-like morphology around pyramidal cells and co-localize with CCK but not CR (Acsády et al., 1996; Acsady, Görcs, & Freund, 1996; Hájos et al., 1996). Most VIP interneurons are innervated by the serotonergic afferent from the raphe nucleus (Papp, Hajos, Acsády, & Freund, 1999), which is interesting as studies in the cortex have shown co-localization of VIP with 5HT3 receptors (Fu et al., 2014; Rudy et al., 2011). Although there have not been breakthrough studies like that by Lee et al. (2013), Pi et al. (2013), and Fu et al. (2014) in the hippocampus, there is a small subset of studies suggesting that VIP interneurons enhance excitation in the hippocampus via pre- and post-synaptic modes and in a disinhibitory manner. The enhanced excitatory transmission was fully dependent on VIP-dependent release of GABA (Cuhna-Reis 2004). Similarly, direct application of VIP specifically enhances NMDA currents in CA1 pyramidal cells (Cuhna-Reis, Yang2009). Considering the link between enhanced excitation and its unique interneuron-specific contacts, it has been hypothesized that VIP interneurons’ specialized function is to integrate and coordinate activity in the hippocampus (Chamberland & Topolnik, 2012). As VIP appears to act as a neuromodulator of synaptic activity, it is not surprising that its function has also been examined during long-term plasticity. This form of plasticity involves a long lasting strengthening or weakening of synapses (Collingridge, Peineau, Howland, & Wang, 2010). A recent article showed that VIP interneurons play a role in regulating long-term depression (LTD) in CA1 pyramidal neurons (Cunha-Reis, Aidil-Carvalho, & Ribeiro, 2014). The authors found that in the presence of VIP antagonists, there is stronger depression following the LTD protocol (1 Hz stimulation for 15 mins) than in a naïve situation. This suggests that VIP endogenously inhibits the strength of LTD in the CA1. This modulation acts specifically on the VPAC1 VIP receptors, which are present on dendrites in the oriens and radiatum strata (Joo et al., 2004). The modulation of the LTD strength is also more affected when VIP is antagonized compared to GABA. This could potentially be an outcome in which VIP interneurons modulate a circuit and the peptide, itself, acts on the circuit further. This study is the first to show endogenous regulation of VIP interneurons on LTD and offers the potential to explore this circuitry further. The above summated work in VIP and the hippocampus illustrates the potential for more work and exploration but also the lack of clear knowledge on the actual role and function of VIP. Although the hippocampal VIP literature shares similarities with the cortex literature, it’s apparent that VIP is studied more distinctly as a neuromodulating peptide rather than a specific-type of interneuron. Most articles note that VIP is expressed by GABAergic neurons and thus suggest that inhibition might be involved as well but the work remains at the synaptic level rather than examining the circuitry involved. Recent findings linking VIP and LTD offer an exciting opportunity to understand how a potential disinhibitory circuit plays a part in memory formation. Present and future outlooks A new model for (dis)inhibition? With the newly discovered VIP-dependent disinhibition circuit in the cortex, it stands to question whether this is a specific and unique circuit or if disinhibitory modulation is a commonality to many circuits in the brain. Presently, it is difficult to say as these findings are dependent on recent advances in technologies and limitations in the availability of interneuron subtype-specific Cre-driver lines but some conclusions can be posed. While VIP interneurons remain particularly unique in their near sole innervation with other interneurons, other interneurons also demonstrate interneuron preferences. PV neurons synapse mostly onto pyramidal cells and onto each other whereas SST neurons synapse onto pyramidal cells, onto each other and other interneurons (Pfeffer et al., 2013). In addition to the VIP circuit, there is evidence of disinhibition involving other interneurons. In layer 4 of the cortex, SST interneurons were shown to disinhibit the pyramidal neurons via inhibition of fastspiking interneurons (most likely PV-cells). The same article also found that inhibition of layer 2/3 SST cells increased the excitability of pyramidal cells in the same layer (Xu, Jeong, Tremblay, & Rudy, 2013) (Xu 2013). This could be related to or the same as the VIP circuit in which VIP cells inhibit SST cells in layer 2/3 (Fu et al., 2014; Wilson & Glickfeld, 2014). Layer 1 cells, thought to be made up entirely of interneurons, have been found to act in multiple disinhibitory circuits. These cells disinhibit layer 2/3 pyramidal cells via PV cells (Letzkus et al., 2011). In this case, these cells were not subtyped and could be VIP. Another potential disinhibitor cells could be SST cells as VIP cells do not prefer PV cells and SST cells synapse more regularly with PV cells (Pfeffer et al., 2013). Another study found that single bouquet cells in layer 1 disinhibit layer 5 pyramidal cells via inhibition of layer 2/3 interneurons (Jiang, Wang, Lee, Stornetta, & Zhu, 2013). All these studies suggest that disinhibition is an important and potentially common function across multiple brain areas: the auditory cortex, prefrontal cortex, visual cortex, and somatosensory cortex. This evidence suggests that VIP-regulated circuits are important for integrating input from deep brain areas like the cholinergic afferents activating VIP neurons in the visual cortex with more superficial cortical association inputs (Fu et al., 2014; Pfeffer, 2014; Poorthuis et al., 2014; Wilson & Glickfeld, 2014) (see figure 3). SST Long-range inputs Serotonergic VIP Cholinergic VIP transmitter PV Local inputs Figure 3 This schematic diagram elaborates on the disinhibitory circuitry described in this report. VIP interneurons receive input from local and long-range inputs including serotonergic (via the basal raphe) and cholinergic (via basal forebrain) afferents. When excited VIP interneurons inhibit predominately SST and some PV interneurons. Finally, this report proposes that VIP as a neurotransmitter might potential add an extra neuromodulatory action on local excitatory neurons. Black triangles indicate excitatory synapses and open circles indicate inhibitory synapses. Blanket Inhibition Born from the recent data elaborating on previous models and the newer disinhibitory circuitry, some suggest that there are multiple canonical inhibitory circuit motifs (Hangya, Pi, Kvitsiani, Ranade, & Kepecs, 2014). Of these, there is feedback, feed-forward and disinhibition (see figure 1). Presently, I believe it is of vital importance to maintain these motifs in order to provide the scaffolding for future research. The usage of these motifs allows research to form testable hypotheses aimed at understanding these circuits but in the future it may be that these motifs are rather different facets to the same gem rather than separate operating entities. A contrasting perspective, suggests that most inhibition occurs non-specifically and disinhibitory circuits like that of the VIP interneurons act to “release” this inhibition and reveal pockets of excitation (Fino, Packer, & Yuste, 2013) (see figure 4). Figure 4 This diagram demonstrates how VIP interneurons act to release pockets of excitatory neurons from the blanket of inhibition. Green cells are excitatory, blue are SST cells and the orange cell is a VIP neuron. By synapsing onto an SST cell, the VIP’s disinhibit pyramidal cells. Adapted from Karnani, Agetsuma & Yuste, 2014. Combining disinhibition and the inhibition blanket hypothesis might be more feasible than at first thought. Most interneurons, though predominately PV and SST, show dense, local innervation (100-200 um) of pyramidal cells (Fino & Yuste, 2011). The inhibition blanket hypothesis suggests that the interneurons do not have a built-in guideline to whom they synapse with but that there are local cues shaping their synapsing and responses within a circuit. It is important to note that blanket inhibition does not mean that all pyramidal neurons are constantly and consistently inhibited at the same time. Rather, they are under the control of interneurons with different temporal specificities. These dynamics can be dictated by their projections, i.e. dendritic or perisomatic and also by the nature of their synaptic responses (Fino et al., 2013; Karnani, Agetsuma, & Yuste, 2014). PV cells are fast-spiking and thus likely are the first inhibitors while SST cells tend to respond only after numerous spiking inputs and thus likely are involved in continuing inhibition if stimulation is strong enough (Karnani et al., 2014; McBain & Fisahn, 2001). Blanket inhibition attempts, in a way, to bring all different circuit motifs together under one umbrellahypothesis as a way to explain the more global function of excitation and inhibition. This hypothesis inherently requires more research that will likely need to examine the problem both from the circuit-specific perspective and also the dense nonspecific inhibition perspective. Neuromodulation Neuromodulation is an important actor in shaping circuitry but has been running parallel to inhibition research rather than hand in hand (Marder, 2012; Wester & McBain, 2014). Circuitry examines a group of neurons and how they interact with each other whereas neuromodulation often examines the effect of modulators at the level of the synapse or at a non-specific cellular level (Marder, 2012). As technologies improve and allow better labeling in vivo and in vitro, it is more realistic to combine neuromodulation with inhibition. It is of paramount interest to examine how the markers used to identify different classes of interneurons might specifically dictate and influence the role of the interneuron within its own circuitry. These neuromodulatory factors co-expressed by numerous interneurons likely represent information associated with behavior state and allow for greater flexibility within circuits (Wester & McBain, 2014). VIP is a peptide that increases both cAMP production and glycogenesis in neurons and astrocytes. Somatostatin is a hormone that among other things inhibits growth hormone release and adenyl cyclase (Schettini et al., 1989). Both these neuromodulators together make up potentially 40% of all interneurons in the cortex (see table 1). By acting on the circuits separately or in strong conjunction with circuitry, they offer further gain control for circuitry (see figure 3). Recent work from the hippocampus has shown that neuromodulators are not always slow acting but can also have rapid effects i.e. cholinergic inputs driving immediate changes in synaptic response in real time (Lovett-Barron et al., 2014; Poorthuis et al., 2014). Examining the coupling of neuromodulators to inhibition circuitry might provide information regarding the differences between interneurons and the behavioral function of the circuit itself. What’s next? This is an exciting time for interneuron research. With the advent of specific cell-targeting techniques via Cre-driver lines and optogenetics, it is possible to isolate interneuron subtypes and test their function within a circuit. The discovery of a disinhibitory circuit that appears to be conserved across the sensory modalities is a big step towards understanding the relevance of the excitation and inhibition balance in the brain. Further, it is now possible to study the relevance of these circuits in the context of behavior. One question for these inhibition models is whether they hold across behaviors or if some behaviors like whisking and auditory discrimination (Lee et al., 2013; Pi et al., 2013) engage the disinhibition model while other behaviors like memory recall may engage a different inhibition model. I would argue that it is likely a combination of both. It may well be that all models coexist and their recruitment may depend upon the behavior. As the disinhibitory circuitry controlled by the VIP cells seems to be conserved across the sensory cortices, this circuit is a good place to begin further research. VIP cells also exist in the hippocampus so it would be interesting to examine whether the disinhibition circuit also exists there. Further, the behaviors that are linked to this circuitry would be of particular interest as the hippocampus is very well studied and has been linked to learning and memory function. Particularly in the hippocampus, much of the research into VIP has been associated with synaptic plasticity so if the conserved VIP circuit is found in the hippocampus as well, it would be fascinating to examine the role of the behaviors modulating the circuit and how long-term synaptic plasticity is modified. Behavioral tests have already shown that VIP plays a role in inhibiting exploration and enhancing water-maze learning (CuhnaReis 2014). It has recently been shown, using optogenetic techniques, that long-term potentiation and long-term depression can activate and inactivate a memory (Nabavi et al., 2014). In this case the authors utilized fear memory circuitry including the auditory cortex, amygdala and the thalamus. This circuit might be engaging the same or similar circuitry to that used in the VIP disinhibition circuitry where VIP activation was modulated by reward (Pi et al., 2013). This circuit might be particularly interesting, as most work in the cortex has not examined synaptic plasticity function of VIP. Additionally as VIP interneurons have been shown to modulate the strength of LTD, a potential function could be gain control of when a memory is inactivated (Cunha-Reis et al., 2014). Again, this is an opportunity to further examine synaptic plasticity in the context of interneuron circuits. As noted previously, neuromodulators might play an important role within the inhibitory circuitry. In particular, it would be interesting to examine the VIP circuitry with a focus on both cholinergic and serotonergic afferents as VIP interneurons can also express ChaT and 5HT3. Those layer 1 cells, which act in the disinhibitory circuit with layer 2/3 pyramidal cells, respond to cholinergic input and doubly interesting are also positive for 5HT3aR (Jiang et al., 2013; Larkum, 2013). Additionally, this disinhibition via cholinergic input is required for a learned association of shock with tone. There is already evidence of basal forebrain (BF), i.e. cholinergic, stimulation modulating the excitation and inhibition of VIP, PV and excitatory neurons (Alitto & Dan, 2013). In this case, they find that weak versus strong BF stimulation shifts the inhibitory circuit from the control of PV cells to VIP cells. This is an example in which a behavior, via neuromodulatory afferents, can drive a shift in the recruitment of a certain inhibitory scheme. Interestingly, in the hippocampus cholinergic inputs drive SST cells to strongly inhibit pyramidal cells during learning for tone and shock association (Lovett-Barron et al., 2014; Wester & McBain, 2014). As VIP cells often innervate SST cells, it would be useful to investigate how this circuit could potentially exist and modulate learning. These findings all suggest that both cholinergic and serotonergic modulators act in learned behaviors (Letzkus et al., 2011; Wester & McBain, 2014). Conclusions VIP interneurons have proven to be quite interesting subjects of study in the context of inhibition and neuromodulation. While other interneurons are undoubtedly interesting as well, the advent of new technologies allowed for the discovery of a potentially canonical disinhibitory circuit regulated by VIP cells. The fact that these cells also have a role in metabolism, vasodilation, a number of co-expression patterns, and a role in circadian rhythms point out that this is a peptide that can wear many hats. Although this complicates our ability to understand all of it’s functions, it also offers a nice model to examine at length. In the near future, hopefully there will be studies emerging revealing the how the disinhibition circuit responds to different types of behaviors and consequently different, potentially neuromodulating, inputs. It will also be important to begin examining the potential existence of these circuits in other brain areas like the hippocampus but also others such as the amygdala (Capogna, 2014). The promise of a new era of interneuron research has arrived and there is much to look forward to regarding the development of new hypotheses and the likely wedding of some hypotheses together, such as blanket inhibition and disinhibition. 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